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Nursing models in special hospital settings.

The use of theories and models in nursing is not merely an armchair activity indulged in by academic nurses in teaching and research institutions, but a means of looking critically at practice to improve the effectiveness of care. Nursing models help to provide descriptions of the contents of teaching and training courses. Models aim to specify: goals of action; descriptive terms for the recipients of services; nurse roles; likely sources of difficulty; the focus for intervention; and the intended consequences of the nursing model in applied practice. Examination reveals three separate dominant models of nursing practice in special hospitals: medico-legal, moral-retributional and educational. Nursing models are both useful and necessary for the provision of coherent teaching curricula and as a framework for the actual process of nursing. The need for consideration of model selection and model choice seems paramount in the current climate of special hospital nursing. A major advantage of educational nursing models seems that they allow the development and growth of nurses, with likely benefits for improved consumer services.

Ethics, Nursing↗

Animal models of arthritis: relevance to human disease.

Animal models of arthritis are used to evaluate potential antiarthritis drugs for clinical use. Therefore capacity of the model to predict efficacy in human disease is one of the most important criteria in model selection. Animal models of rheumatoid arthritis (RA) with a proven track record of predictability include rat adjuvant arthritis, rat type II collagen arthritis, mouse type II collagen arthritis, and antigen-induced arthritis in several species. Agents currently in clinical use (or trials) that are active in these models include corticosteroids, methotrexate, nonsteroidal anti-inflammatory drugs, cyclosporin A, leflunomide, interleukin-1 receptor antagonist, and soluble tumor necrosis factor receptors. For some of these agents, the models also predict that toxicities seen at higher doses for prolonged periods would preclude dosing in humans at levels that might provide disease-modifying effects. Animal models of osteoarthritis (OA) include mouse and guinea pig spontaneous OA, meniscectomy and ligament transection in guinea pigs, meniscectomy in rabbits, and meniscectomy and cruciate transection in dogs. None of these models have a proven track record of predictability in human disease because there are no agents that have been proven to provide anything other than symptomatic relief in human OA. Efficacy data and features of the various models of RA and OA are discussed with emphasis on their proven relevance to human disease.

Animals↗

Biostatistical methods for the validation of alternative methods for in vitro toxicity testing.

Statistical methods for the validation of toxicological in vitro test assays are developed and applied. Validation is performed either in comparison with in vivo assays or in comparison with other in vitro assays of established validity. Biostatistical methods are presented which are of potential use and benefit for the validation of alternative methods for the risk assessment of chemicals, providing at least an equivalent level of protection through in vitro toxicity testing to that obtained through the use of current in vivo methods. Characteristic indices are developed and determined. Qualitative outcomes are characterised by the rates of false-positive and false-negative predictions, sensitivity and specificity, and predictive values. Quantitative outcomes are characterised by regression coefficients derived from predictive models. The receiver operating characteristics (ROC) technique, applicable when a continuum of cut-off values is considered, is discussed in detail, in relation to its use for statistical modelling and statistical inference. The methods presented are examined for their use for the proof of safety and for toxicity detection and testing. We emphasise that the final validation of toxicity testing is human toxicity, and that the in vivo test itself is only a predictor with an inherent uncertainty. Therefore, the validation of the in vitro test has to account for the vagueness and uncertainty of the "gold standard" in vivo test. We address model selection and model validation, and a four-step scheme is proposed for the conduct of validation studies. Gaps and research needs are formulated to improve the validation of alternative methods for in vitro toxicity testing.

Animal Testing Alternatives↗

5-HT3 receptors in selective animal models of cognition.

Role of 5-HT3 receptors in cholinergic hypofunctional models of cognitive impairment in the elevated plus maze model and a passive avoidance model is studied. Cognitive impairment was caused by scopolamine (1 mg/kg, ip) in mice and 5-HT3 ligands mCPBG (1 and 5 mg/kg, ip) and ondansetron (0.5 and 5 mg/kg, ip) were administered before the pre-learning phase to study the effects on acquisition, while post-learning administration was used to determine the effects on consolidation. Ondansetron improved acquisition and retention in cholinergic hypofunctional models while mCPBG potentiated selected impaired cognitive indices. The results indicate the role of 5-HT3 receptors in cognition and that an ideal evaluation of 5-HT3 ligands in cognition should distinguish true cognitive effects from locomotor, motivational and emotional effects.

Animals↗

Animal models of rheumatoid arthritis.

Animal models of arthritis are used to study pathogenesis of disease and to evaluate potential anti-arthritic drugs for clinical use. Therefore morphological similarities to human disease and capacity of the model to predict efficacy in humans are important criteria in model selection. Animal models of rheumatoid arthritis (RA) with a proven track record of predictability for efficacy in humans include: rat adjuvant arthritis, rat type II collagen arthritis, mouse type II collagen arthritis and antigen-induced arthritis in several species. Agents currently in clinical use (or trials) that are active in these models include: corticosteroids, methotrexate, nonsteroidal anti-inflammatory drugs, cyclosporin A, leflunomide interleukin-1 receptor antagonist (IL-1ra) and soluble TNF receptors. For some of these agents, the models also predict that toxicities seen at higher doses for prolonged dosing periods would preclude dosing in humans at levels that might provide disease modifying effects. Data, conduct and features of the various models of these commonly utilized models of RA as well as some transgenic mouse models and less commonly utilized rodent models will be discussed with emphasis on their similarities to human disease.

Journal Article↗

Optimal maintenance of constructed wetlands using an environmental decision support system.

Constructed wetlands (CWs) are artificial wastewater treatment systems appropriate for small communities because of their affordability, operability and reliability. These qualities are true whenever CWs are designed and constructed properly, and as long as the necessary operation and maintenance procedures are carried out correctly. Experience shows that the operation and maintenance procedures, and the frequencies with which these procedures are carried out, differ from one CW to another. With this in mind, and along with a projected increase in CWs in Catalonia, the Catalan Water Agency (Agència Catalana de l'Aigua) has developed an Environmental Decision Support System (EDSS) which proposes guidelines for monitoring and maintenance, according to the characteristics of each CW. This EDSS was developed following a methodology based on five steps: (i) problem analysis; (ii) collecting data and knowledge acquisition; (iii) model selection; (iv) model implementation and (v) validation. This paper describes the methodology followed to build the decision support system and presents some examples of the information provided by this EDSS.

Data Collection↗

Improving medical diagnostic accuracy of ultrasound Doppler signals by combining neural network models.

There are a number of different quantitative models that can be used in a medical diagnostic decision support system including parametric methods (linear discriminant analysis or logistic regression), nonparametric models (k nearest neighbor or kernel density) and several neural network models. The complexity of the diagnostic task is thought to be one of the prime determinants of model selection. Unfortunately, there is no theory available to guide model selection. This paper illustrates the use of combined neural network models to guide model selection for diagnosis of ophthalmic and internal carotid arterial disorders. The ophthalmic and internal carotid arterial Doppler signals were decomposed into time-frequency representations using discrete wavelet transform and statistical features were calculated to depict their distribution. The first-level networks were implemented for the diagnosis of ophthalmic and internal carotid arterial disorders using the statistical features as inputs. To improve diagnostic accuracy, the second-level networks were trained using the outputs of the first-level networks as input data. The combined neural network models achieved accuracy rates which were higher than that of the stand-alone neural network models.

Adult↗

Use of variable selection in modeling the secondary structural content of proteins from their composition of amino acid residues.

The possibility of prediction of protein secondary structure content from composition of their amino acid residues can help in bridging the gap between proteins of known primary sequence having an unknown secondary structure. Almost all recently published models for understanding the relationship between composition (frequency of occurrence) of amino acid residues and secondary structure content of proteins involved composition of all 20 amino acid residues. However, it is well-known that many amino acid residues are mutually similar according to their physicochemical properties (hydrophobicity, hydrophilicity, charge, size, etc.). Because of that, we were motivated to investigate the possibility of reduction of the total number of terms (frequencies of amino acid residues) in the models for describing the relation between the composition of amino acid residues and the percentage of residues belonging to alpha, beta, and coil secondary structure. For this purpose, the CROMRsel algorithm (J. Chem. Inf. Comput. Sci. 1999, 39, 121-132) for selection of a small subset of the most important variables/descriptors into the multiregression (MR) models, i.e., frequency of occurrence of amino acid residues in proteins, was used. Analysis was performed on a data set containing 475 proteins, taken from Proteins 1996, 25, 157-168. A complete data set was partitioned into a 317-protein training set and 158-protein test set. The best possible linear models containing I=1, ..., 20 frequencies were selected among all 20 frequencies of occurrence of amino acid residues on the 317-protein training set, and were used for performing prediction of the corresponding percentage of secondary structure content on the 158-protein test set. For the 317-protein data set the best selected concise models for the alpha, beta, and coil secondary structure contain only 9, 5, and 8 frequencies, respectively. Selected concise models are of the same or better fitted, cross-validated, and predictive statistical parameters than the models containing all 20 frequencies. Additionally, for each I (I=1, ...., 20) 30 the best possible random models were selected. In each case, the best possible real models are much better than each of the best possible random models, showing clearly that there is no risk of a chance correlation (what one could expect due to the application of an exhaustive search for the best model having I frequencies among all 20!/I!(20-I)! possible models). Finally, the best selected models on the complete 475-protein data set for the alpha, beta, and coil secondary structure contain only 7, 4, and 7 frequencies of amino acid residues, respectively. These models are much simpler and have better fitted and cross-validated errors than the corresponding models from the literature, that were obtained without using a procedure for selection of the most important frequencies of amino acid residues in proteins.

Amino Acids↗

Genetic drift in an infinite population. The pseudohitchhiking model.

Selected substitutions at one locus can induce stochastic dynamics that resemble genetic drift at a closely linked neutral locus. The pseudohitchhiking model is a one-locus model that approximates these effects and can be used to describe the major consequences of linked selection. As the changes in neutral allele frequencies when hitchhiking are rapid, diffusion theory is not appropriate for studying neutral dynamics. A stationary distribution and some results on substitution processes are presented that use the theory of continuous-time Markov processes with discontinuous sample paths. The coalescent of the pseudohitchhiking model is shown to have a random number of branches at each node, which leads to a frequency spectrum that is different from that of the equilibrium neutral model. If genetic draft, the name given to these induced stochastic effects, is a more important stochastic force than genetic drift, then a number of paradoxes that have plagued population genetics disappear.

Crossing Over, Genetic↗

Neural network model of selective visual attention using Hodgkin-Huxley equation.

We propose a mathematical model of selective visual attention using a two-layered neural network with neurons described by the Hodgkin-Huxley equation in order to investigate part of the assumption proposed by Desimone and Duncan. The neural network consists of a layer of hippocampal formation and of visual cortex. A frequency of firing and a firing time for each neuron and also a correlation of the firing times between neurons are calculated numerically to clarify an attention state, a nonattention state, and an attention shift. We find that synchronous phenomena occur not only for the frequency but also for the firing time between the neurons in the hippocampal formation and those in a part of the visual cortex in our model. It also turns out that the attention shift is performed quickly in our model.

Action Potentials↗

The selective tuning model of attention: psychophysical evidence for a suppressive annulus around an attended item.

The selective tuning model [Artif. Intell. 78 (1995) 507] is a neurobiologically plausible neural network model of visual attention. One of its key predictions is that to simultaneously solve the problems of convergence of neural input and selection of attended items, the portions of the visual neural network that process an attended stimulus must be surrounded by inhibition. To test this hypothesis, we mapped the attentional field around an attended location in a matching task where the subject's attention was directed to a cued target while the distance of a probe item to the target was varied systematically. The main result was that accuracy increased with inter-target separation. The observed pattern of variation of accuracy with distance provided strong evidence in favor of the critical prediction of the model that attention is actively inhibited in the immediate vicinity of an attended location.

Adult↗

The coalescent process in models with selection, recombination and geographic subdivision.

A population genetic model with a single locus at which balancing selection acts and many linked loci at which neutral mutations can occur is analysed using the coalescent approach. The model incorporates geographic subdivision with migration, as well as mutation, recombination, and genetic drift of neutral variation. It is found that geographic subdivision can affect genetic variation even with high rates of migration, providing that selection is strong enough to maintain different allele frequencies at the selected locus. Published sequence data from the alcohol dehydrogenase locus of Drosophila melanogaster are found to fit the proposed model slightly better than a similar model without subdivision.

Alcohol Dehydrogenase↗

Ribosome bypassing at serine codons as a test of the model of selective transfer RNA charging.

Recently, a model of the flux of amino acids through transfer RNAs (tRNAs) and into protein has been developed. The model predicts that the charging level of different isoacceptors carrying the same amino acid respond very differently to variation in supply of the amino acid or of the rate of charging. It has also been shown that ribosome bypassing is specifically stimulated at 'hungry' codons calling for an aminoacyl-tRNA in short supply. We have constructed two reporters of bypassing, which differ only in the identity of the serine codon subjected to starvation. The stimulation of bypassing as a function of starvation differed greatly between the two serine codons, in good agreement with the quantitative predictions of the model.

Codon↗

Models of sexual selection on a quantitative genetic trait when preference is acquired by sexual imprinting.

The evolution of a quantitative genetic trait under stabilizing viability selection and sexual selection is modeled for a polygynous species in which female mating preferences are acquired by sexual imprinting on the parents and by exposure to the surviving population at large. Stabilizing viability selection acts equally on both sexes in the case of a sexually monomorphic trait and on males only in the case of a dimorphic trait. A genetically fixed sensory or perceptual bias defines the origin of the scale on which the trait is measured, and the possibility is incorporated that female preferences may deviate asymmetrically from the familiar-either toward or away from this origin. When viability selection is strong relative to sexual selection, the models predict that the mean trait value will evolve to the viability optimum. With intermediate ratios of the strength of viability to sexual selection, a stable equilibrium can occur on either side of this viability optimum, depending on the direction of asymmetry in female preferences. When viability selection is relatively weak and certain other conditions are also satisfied, runaway selection is predicted.

Animals↗

Prediction of siRNA knockdown efficiency using artificial neural network models.

Selective knockdown of gene expression by short interference RNAs (siRNAs) has allowed rapid validation of gene functions and made possible a high throughput, genome scale approach to interrogate gene function. However, randomly designed siRNAs display different knockdown efficiencies of target genes. Hence, various prediction algorithms based on siRNA functionality have recently been constructed to increase the likelihood of selecting effective siRNAs, thereby reducing the experimental cost. Toward this end, we have trained three Back-propagation and Bayesian neural network models, previously not used in this context, to predict the knockdown efficiencies of 180 experimentally verified siRNAs on their corresponding target genes. Using our input coding based primarily on RNA structure thermodynamic parameters and cross-validation method, we showed that our neural network models outperformed most other methods and are comparable to the best predicting algorithm thus far published. Furthermore, our neural network models correctly classified 74% of all siRNAs into different efficiency categories; with a correlation coefficient of 0.43 and receiver operating characteristic curve score of 0.78, thus highlighting the potential utility of this method to complement other existing siRNA classification and prediction schemes.

Algorithms↗

Quantitative genetic models of sexual selection.

Quantitative genetic models of sexual selection have disproven some of the central tenets of both the handicap mechanism and the 'sexy son' hypothesis. These results suggest that the 'good genes' approach to sexual selection may generally lead to erroneous results. Runaway sexual selection seems possible under a wide variety of circumstances. Quantitative genetic models have revealed runaway processes for sexually selected attributes expressed in both sexes and for attributes of parental care. Furthermore, the runaway could occur simultaneously in a series of populations that straddle an environmental gradient. While the models support the feasibility of runaway processes, empirical studies are needed to evaluate whether runaways actually happen. Estimates of critical genetic parameters are particularly needed, as well as measures of natural and sexual selection acting on the same population. The models also show that sexual selection has tremendous potential to produce population differentiation, particularly in epigamic traits. Differentiation is promoted by indeterminancy of evolutionary outcome, transient differences among populations during the final slow approach to equilibrium, sampling drift among equilibrium populations, and the tendency of sexual selection to amplify geographic variation arising from spatial differences in natural selection. Recent work with two- and three-locus models of sexual selection has produced results that parallel the results of the polygenic models. Thus the feature of indeterminate equilibria (outcome dependent on initial conditions) is common to both types of model.

Animals↗

Combining information in different color-coding mechanisms to facilitate visual search.

An earlier experiment using a yes-no procedure with a search accuracy task [A.L. Nagy, G. Thomas, Distractor heterogeneity, attention, and color in visual search tasks, Vision Research, 43 (2003) 1541-1552] showed that observers could combine information in different cardinal color mechanisms to facilitate search performance. In the experiments reported here we attempted to replicate these results with a forced-choice procedure and tested three different models of the manner in which information in different feature coding mechanisms is combined. One model was a linear summing model in which signals in different mechanisms are linearly summed in a mechanism under the control of attention. The summed signals are used to guide attention to likely targets. The second model was a nonlinear selection model in which signals in one mechanism are used to select stimuli for attention. A decision is then based on signals generated by the selected stimuli in a mechanism other than the one that is used for selection. The third model was the linear separability model, which suggests that the chromaticity of the target stimulus must be separated from the chromaticities of the distractor stimuli by a straight line in a chromaticity diagram for efficient search. Results favored the nonlinear selection model over the linear summing model and the linear separability model.

Adult↗

Modeling the frequency and duration of microbial contamination events.

The frequency and duration of microbial contamination events in the environment in which ready-to-eat (RTE) foods are exposed for processing and packaging is subject to uncertainty and variability. Variability, within-model parameter uncertainty, and uncertainty regarding model selection are formally considered in modeling the frequency and duration of such contamination events by Listeria species. The estimated duration of contamination events represents a case where variability dominates with relatively little uncertainty about parameter values or model form. The estimated frequency of contamination events represents a case where there is not only substantial variability but also considerable within-model parameter uncertainty, as well as some uncertainty regarding model selection. The Bayesian Information Criterion provides a formal way of taking into account model uncertainty.

Animals↗